Provider Demographics
NPI:1689900318
Name:CONDON, EMILY YARBROUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:YARBROUGH
Last Name:CONDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:SULLIVANS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29482-8728
Mailing Address - Country:US
Mailing Address - Phone:843-883-3711
Mailing Address - Fax:
Practice Address - Street 1:835 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:SULLIVANS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29482-8728
Practice Address - Country:US
Practice Address - Phone:843-883-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-31
Last Update Date:2009-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine